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IndividualActive

Jeremiah Brad Petersen

PTA

Specialist

NPI: 1760797203Greendale, Wisconsin, 53129(414) 423-1399Male

About Jeremiah Brad Petersen

Jeremiah Brad Petersen, PTA, is a male healthcare professional specializing in Specialist, registered under National Provider Identifier (NPI) number 1760797203. Their primary practice is located at 5900 MOCKINGBIRD LN, Greendale, Wisconsin 53129.

Patients can reach the office at (414) 423-1399. Jeremiah Brad Petersen has been NPI-registered since 2010.

Doctor Details

Identity & Credentials

NPI Number
1760797203
Entity Type
Individual
First Name
Jeremiah
Last Name
Petersen
Credential
PTA
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
5900 MOCKINGBIRD LN
City
Greendale
State
Wisconsin
ZIP
53129-1459
Country
United States
Phone
(414) 423-1399

Specialty & Taxonomy

Primary Specialty
Specialist
Classification
Specialist
Taxonomy Code
174400000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
133 W OREGON ST APT 202
City
MILWAUKEE
State
WI
ZIP
532041483

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Jeremiah Brad Petersen's NPI number?
Jeremiah Brad Petersen's National Provider Identifier (NPI) is 1760797203. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jeremiah Brad Petersen specialize in?
Jeremiah Brad Petersen specializes in Specialist.
Where is Jeremiah Brad Petersen located?
Jeremiah Brad Petersen practices at 5900 MOCKINGBIRD LN, Greendale, Wisconsin 53129. You can reach them by phone at (414) 423-1399.
Does Jeremiah Brad Petersen accept Medicare?
Based on available data, Jeremiah Brad Petersen is not currently enrolled in the Medicare program.
Does Jeremiah Brad Petersen offer telehealth or virtual visits?
Jeremiah Brad Petersen does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jeremiah Brad Petersen is 1760797203.